ABSTRACT

The surgical treatment of 34 patients with scoliosis was performed using anterior spinal and posterior spinal instruments. The instruments were designed in such a way that all of the frontal, sagittal, and axial deformities of the scoliotic curve would be corrected. The scoliosis was of idiopathic origin in 24 patients of paralytic origin in 5 patients and congenital in 5 patients. The age range was 10-23 (mean 13.7) and 22 of the patients were females and 12 of them were males. Anterior Spinal Instrumentation (ASI) was utilized in the correction of lumbar curves and the lumbar regions of thoracolumbar double curves and thoracolumbar curves. Thoracal curves and the thoracolumbar curves on which ASI’s had been applied were later corrected with posterior spinal instrumentations (PSI). All of the curves on which ASI’s had been applied were further supported by PSI’s. The patients in plastic casts were mobilized in a short period time. Succesfull results were obtained in the frontal, sagittal an axial planes, with the application of ASI and besides the correction of the deformity a physiological lumbar lordosis was also achieved.